Case Coordinator
Location
Ohio
Posted
35 days ago
Salary
$17 - $19 / hour
Seniority
Senior
Job Description
Case Coordinator
Sedgwick
• Gather claim data and manage low to mid-level workers compensation claims to full duty Return to work • Facilitate appropriate treatment services efficiently, within required Ohio BWC Guidelines for compliance, company standards, industry best practices and/or client specific requirements • Obtain expected elements for subsequent EDI to the Bureau of Workers Compensation (BWC) • Manage medical-only and low- to mid-level lost-time workers compensation claims under close supervision • Process workers compensation claims reviewing receipt of compensation; Treatment plans; facilitating services; collaborating with all claim parties with updates and changes • Verify return to work documentation through telephonic and written communications and records return to work dates appropriately in system(s) • Manage claims in close collaboration with Claims Management Team • Support other claims management staff with larger or more complex claims as necessary • Make referral for case management and/or utilization management when work status changes due to functional limitations/medical instability • Document communications and claims management appropriately in system(s) • Respond to all inquiries within one (1) business day • Maintain knowledge of BWC rules and laws, workers compensation process, and CHS policies and procedures • Maintain professional client relationships • Meet and maintain productivity and quality expectations
Job Requirements
- High school diploma or GED required
- Strong oral and written communication skills
- Computer literate – including Microsoft Office
- Organizational skills required
- Clerical or customer service experience or equivalent combination of education and experience preferred
Benefits
- A diverse and comprehensive benefits package including medical, dental, vision, 401K, PTO and more
- World class training program with a comprehensive curriculum
- Assigned mentor and manager to support and guide on career journey
- Career development and promotional growth opportunities
